Information Collection

[NIOSH] Assessment of Task-Based Exposures That May Affect Reproductive Health in Nail Salon Employees

IC 271778 under ICR 202507-0920-005 · OMB 0920-1154.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0920-1154 can be found here:

Documents and Forms

Document Name Document Type
Form 0920-1154 [NIOSH] Assessment of Task-Based Exposures That May Affect Reproductive Health in Nail Salon Employees Form and Instruction
Form 0920-1154 [NIOSH] Assessment of Task-Based Exposures That May Affect Reproductive Health in Nail Salon Employees Form and Instruction
0920-1154 Nail Salon Exposure Study Questionnaire (24AA) Questionnaire120424 updated.docx Form and Instruction
0920-1154 Nail Salon Exposure Study Questionnaire (24AA) Questionnaire120424 updated.docx Form and Instruction
0920-1154 (24AA) Nail Salon Exposure Study Questionnaire Feedback Form FeedbackForm040224.docx Form
0920-1154 (24AA) Nail Salon Exposure Study Questionnaire Feedback Form FeedbackForm040224.docx Form
Supporting Statement A updated.docx SSA (24AA) IC Document
Supporting Statement A updated.docx SSA (24AA) IC Document
Supporting Statement B.docx SSB (24AA) IC Document
Supporting Statement B.docx SSB (24AA) IC Document
Attmt I- Authorizing Legislation.docx Authorizing Legislation IC Document
Attmt I- Authorizing Legislation.docx Authorizing Legislation IC Document
Attachment 4- IRB Determination.docx IRB Determination (24AA) IC Document
Attachment 4- IRB Determination.docx IRB Determination (24AA) IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	[NIOSH] Assessment of Task-Based Exposures That May Affect Reproductive Health in Nail Salon Employees	Agency IC Tracking Number:	0920-1154-25AA

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	0920-1154	Nail Salon Exposure Study Questionnaire (24AA)	Questionnaire120424 updated.docx		Yes	Yes	Fillable Fileable
Form	0920-1154 (24AA)	Nail Salon Exposure Study Questionnaire Feedback Form	FeedbackForm040224.docx		Yes	Yes	Fillable Fileable

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 12	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Previously Approved
Annual Number of Responses for this IC	12	12
Annual IC Time Burden (Hours)	6	6
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
SSA (24AA)	Supporting Statement A updated.docx	12/06/2024
SSB (24AA)	Supporting Statement B.docx	10/22/2024
Authorizing Legislation	Attmt I- Authorizing Legislation.docx	10/22/2024
IRB Determination (24AA)	Attachment 4- IRB Determination.docx	10/22/2024

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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